Early Rehabilitation Activity and Rehabilitation in ICU Wards in Central China: A Cross-Sectional Survey.

IF 2.7 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Risk Management and Healthcare Policy Pub Date : 2024-10-02 eCollection Date: 2024-01-01 DOI:10.2147/RMHP.S481303

Yanting Zhang, Wei Zhang, Jing Ma, Xinbo Ding

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Abstract

Background: Patients in Intensive Care Units (ICUs) face high risks of physical, functional, cognitive, and mental impairments. Early rehabilitation activities are crucial for reducing mortality and complication rates. This survey investigates the characteristics, current implementation, and detailed status of early rehabilitation activities in ICUs across Central China.

Methods: A cross-sectional survey was conducted involving 158 hospitals, with 131 responding. Data on institutional characteristics and early rehabilitation activities were collected through questionnaires. Descriptive statistical analysis described the current status, and a univariate regression model identified factors associated with the implementation of early rehabilitation measures.

Results: A total of 131 ICUs completed the survey, with a response rate of 82.91% (131/158). Results indicated that 82.44% (108/131) of ICUs implemented early rehabilitation activities, but only 65 (49.62%) had explicit early rehabilitation exercise protocols or standards/procedures. Before implementing early rehabilitation activities, approximately 89.97% (110/131) of ICUs conducted assessments, and 46.56% (61/131) regularly held structured interdisciplinary rounds to discuss early activity measures and goals. More than half of the participating adult ICUs reported screening patients for swallowing function (64.89%; 85/131), and 55.73% (73/131) of adult ICUs reported having a nutrition therapy specialist conduct regular consultations/visits. Only 26.72% (35/131) of adult ICUs reported having a speech therapist conduct consultations/visits. A total of 81.68% (107/131) of ICUs believed that the current implementation of early rehabilitation activities was insufficient. In the analysis of influencing factors, the presence of rehabilitation therapists in the ICU was a significant factor for the implementation of early rehabilitation activities (P<0.05).

Conclusion: The majority of ICUs in hospitals in central China have implemented early rehabilitation activities; however, less than half have explicit early rehabilitation exercise protocols or standards/procedures. The presence of professional rehabilitation therapists in the ICU is a key factor in the implementation of early rehabilitation activities in ICUs in hospitals in Central China.

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华中地区 ICU 病房的早期康复活动和康复情况：横断面调查

背景：重症监护病房（ICU）的病人面临着身体、功能、认知和精神障碍的高风险。早期康复活动对于降低死亡率和并发症发生率至关重要。本调查旨在了解华中地区重症监护病房早期康复活动的特点、实施现状及详细情况：方法：我们对 158 家医院进行了横断面调查，其中 131 家医院做出了回应。通过问卷调查收集了有关医院特点和早期康复活动的数据。描述性统计分析描述了现状，单变量回归模型确定了与实施早期康复措施相关的因素：共有 131 个 ICU 完成了调查，回复率为 82.91%（131/158）。结果显示，82.44%（108/131）的 ICU 开展了早期康复活动，但只有 65 个 ICU（49.62%）制定了明确的早期康复锻炼方案或标准/程序。在实施早期康复活动之前，约 89.97%（110/131）的 ICU 进行了评估，46.56%（61/131）的 ICU 定期举行结构化跨学科查房，讨论早期活动措施和目标。超过半数的参与成人重症监护病房报告对患者的吞咽功能进行了筛查（64.89%；85/131），55.73%（73/131）的成人重症监护病房报告有营养治疗专家进行定期会诊/探视。只有 26.72%（35/131）的成人重症监护病房报告有言语治疗师进行会诊/探视。共有 81.68%（107/131）的重症监护病房认为目前开展的早期康复活动不足。在对影响因素的分析中，ICU 是否有康复治疗师是影响早期康复活动开展的重要因素（PC结论：华中地区大多数医院的 ICU 已经开展了早期康复活动，但只有不到一半的 ICU 制定了明确的早期康复锻炼方案或标准/程序。专业康复治疗师在ICU的存在是华中地区医院ICU开展早期康复活动的关键因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health

CiteScore

6.20

自引率

2.90%

发文量

242

审稿时长

16 weeks

期刊介绍： Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.